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                <tr><td colspan="2" class="tr2">Suscripciones FD Fuentes Digital</td></tr>
                <tr valign="baseline" class="tr1"><td width="312" align="right" nowrap>Nombre del Suscriptor (Apellidos, Nombres):</td>
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                            <input type="hidden" name="estado" value="1" /><input type="hidden" name="fechaSuscripcion" value="<?php echo date('Y-m-d'); ?>" /></td></tr><tr valign="baseline" class="tr1"><td width="312" align="right" nowrap>Documento de Identidad:</td><td width="312"><input name="documento" type="text" maxlength="" class="input_text" value="" size="32"></td></tr><tr valign="baseline" class="tr1"><td width="312" align="right" nowrap>Profesión u Oficio:</td><td width="312"><input  name="profesion" type="text" maxlength="" class="input_text" value="" size="32"></td></tr><tr valign="baseline" class="tr1"><td width="312" align="right" nowrap>Empresa:</td><td width="312"><input  name="empresa" type="text" maxlength="" class="input_text" value="" size="32"></td></tr><tr valign="baseline" class="tr1"><td width="312" align="right" nowrap>Teléfonos:</td><td width="312"><input  name="telefonos" type="text" maxlength="" class="input_text" value="" size="32"></td></tr><tr valign="baseline" class="tr1"><td width="312" align="right" nowrap>Email:</td><td width="312"><input  name="email" type="text" maxlength="" class="input_text" value="" size="32"></td></tr><tr valign="baseline" class="tr1"><td width="312" align="right" align="right" nowrap>País:</td><td width="312" ><select  class = "select_list" name="idPais"><option  value="1">Afganistán</option><option  value="2">Akrotiri</option><option  value="3">Albania</option><option  value="4">Alemania</option><option  value="5">Andorra</option><option  value="6">Angola</option><option  value="7">Anguila</option><option  value="8">Antártida</option><option  value="9">Antigua y Barbuda</option><option  value="10">Antillas Neerlandesas</option><option  value="11">Arabia Saudí</option><option  value="12">Arctic Ocean</option><option  value="13">Argelia</option><option  value="14">Argentina</option><option  value="15">Armenia</option><option  value="16">Aruba</option><option  value="17">Ashmore andCartier Islands</option><option  value="18">Atlantic Ocean</option><option  value="19">Australia</option><option  value="20">Austria</option><option  value="21">Azerbaiyán</option><option  value="22">Bahamas</option><option  value="23">Bahráin</option><option  value="24">Bangladesh</option><option  value="25">Barbados</option><option  value="26">Bélgica</option><option  value="27">Belice</option><option  value="28">Benín</option><option  value="29">Bermudas</option><option  value="30">Bielorrusia</option><option  value="31">Birmania Myanmar</option><option  value="32">Bolivia</option><option  value="33">Bosnia y Hercegovina</option><option  value="34">Botsuana</option><option  value="35">Brasil</option><option  value="36">Brunéi</option><option  value="37">Bulgaria</option><option  value="38">Burkina Faso</option><option  value="39">Burundi</option><option  value="40">Bután</option><option  value="41">Cabo Verde</option><option  value="42">Camboya</option><option  value="43">Camerún</option><option  value="44">Canadá</option><option  value="45">Chad</option><option  value="46">Chile</option><option  value="47">China</option><option  value="48">Chipre</option><option  value="49">Clipperton Island</option><option  value="50">Colombia</option><option  value="51">Comoras</option><option  value="52">Congo</option><option  value="53">Coral Sea Islands</option><option  value="54">Corea del Norte</option><option  value="55">Corea del Sur</option><option  value="56">Costa de Marfil</option><option  value="57">Costa Rica</option><option  value="58">Croacia</option><option  value="59">Cuba</option><option  value="60">Dhekelia</option><option  value="61">Dinamarca</option><option  value="62">Dominica</option><option  value="63">Ecuador</option><option  value="64">Egipto</option><option selected value="65">El Salvador</option><option  value="66">El Vaticano</option><option  value="67">Emiratos Árabes Unidos</option><option  value="68">Eritrea</option><option  value="69">Eslovaquia</option><option  value="70">Eslovenia</option><option  value="71">España</option><option  value="72">Estados Unidos</option><option  value="73">Estonia</option><option  value="74">Etiopía</option><option  value="75">Filipinas</option><option  value="76">Finlandia</option><option  value="77">Fiyi</option><option  value="78">Francia</option><option  value="79">Gabón</option><option  value="80">Gambia</option><option  value="81">Gaza Strip</option><option  value="82">Georgia</option><option  value="83">Ghana</option><option  value="84">Gibraltar</option><option  value="85">Granada</option><option  value="86">Grecia</option><option  value="87">Groenlandia</option><option  value="88">Guam</option><option  value="89">Guatemala</option><option  value="90">Guernsey</option><option  value="91">Guinea</option><option  value="92">Guinea Ecuatorial</option><option  value="93">Guinea-Bissau</option><option  value="94">Guyana</option><option  value="95">Haití</option><option  value="96">Honduras</option><option  value="97">Hong Kong</option><option  value="98">Hungría</option><option  value="99">India</option><option  value="100">Indian Ocean</option><option  value="101">Indonesia</option><option  value="102">Irán</option><option  value="103">Iraq</option><option  value="104">Irlanda</option><option  value="105">Isla Bouvet</option><option  value="106">Isla Christmas</option><option  value="107">Isla Norfolk</option><option  value="108">Islandia</option><option  value="109">Islas Caimán</option><option  value="110">Islas Cocos</option><option  value="111">Islas Cook</option><option  value="112">Islas Feroe</option><option  value="113">Islas Georgia del Sur y Sandwich del Sur</option><option  value="114">Islas Heard y McDonald</option><option  value="115">Islas Malvinas</option><option  value="116">Islas Marianas del Norte</option><option  value="117">IslasMarshall</option><option  value="118">Islas Pitcairn</option><option  value="119">Islas Salomón</option><option  value="120">Islas Turcas y Caicos</option><option  value="121">Islas Vírgenes Americanas</option><option  value="122">Islas Vírgenes Británicas</option><option  value="123">Israel</option><option  value="124">Italia</option><option  value="125">Jamaica</option><option  value="126">Jan Mayen</option><option  value="127">Japón</option><option  value="128">Jersey</option><option  value="129">Jordania</option><option  value="130">Kazajistán</option><option  value="131">Kenia</option><option  value="132">Kirguizistán</option><option  value="133">Kiribati</option><option  value="134">Kuwait</option><option  value="135">Laos</option><option  value="136">Lesoto</option><option  value="137">Letonia</option><option  value="139">Liberia</option><option  value="140">Libia</option><option  value="141">Liechtenstein</option><option  value="142">Lituania</option><option  value="143">Luxemburgo</option><option  value="138">Líbano</option><option  value="144">Macao</option><option  value="145">Macedonia</option><option  value="146">Madagascar</option><option  value="147">Malasia</option><option  value="148">Malaui</option><option  value="149">Maldivas</option><option  value="151">Malta</option><option  value="150">Malí</option><option  value="152">Man, Isle of</option><option  value="153">Marruecos</option><option  value="154">Mauricio</option><option  value="155">Mauritania</option><option  value="156">Mayotte</option><option  value="158">Micronesia</option><option  value="159">Moldavia</option><option  value="161">Mongolia</option><option  value="162">Montserrat</option><option  value="163">Mozambique</option><option  value="157">México</option><option  value="160">Mónaco</option><option  value="164">Namibia</option><option  value="165">Nauru</option><option  value="166">Navassa Island</option><option  value="167">Nepal</option><option  value="168">Nicaragua</option><option  value="170">Nigeria</option><option  value="171">Niue</option><option  value="172">Noruega</option><option  value="173">Nueva Caledonia</option><option  value="174">Nueva Zelanda</option><option  value="169">Níger</option><option  value="175">Omán</option><option  value="176">Pacific Ocean</option><option  value="178">Pakistán</option><option  value="179">Palaos</option><option  value="180">Panamá</option><option  value="181">Papúa-Nueva Guinea</option><option  value="182">Paracel Islands</option><option  value="183">Paraguay</option><option  value="177">Países Bajos</option><option  value="184">Perú</option><option  value="185">Polinesia Francesa</option><option  value="186">Polonia</option><option  value="187">Portugal</option><option  value="188">Puerto Rico</option><option  value="189">Qatar</option><option  value="190">Reino Unido</option><option  value="191">República Centroafricana</option><option  value="192">República Checa</option><option  value="193">República Democrática del Congo</option><option  value="194">República Dominicana</option><option  value="195">Ruanda</option><option  value="196">Rumania</option><option  value="197">Rusia</option><option  value="199">Samoa</option><option  value="200">Samoa Americana</option><option  value="201">San Cristóbal y Nieves</option><option  value="202">San Marino</option><option  value="203">San Pedro y Miquelón</option><option  value="204">San Vicente y las Granadinas</option><option  value="205">Santa Helena</option><option  value="206">Santa Lucía</option><option  value="207">Santo Tomé y Príncipe</option><option  value="208">Senegal</option><option  value="209">Seychelles</option><option  value="210">Sierra Leona</option><option  value="211">Singapur</option><option  value="212">Siria</option><option  value="213">Somalia</option><option  value="214">Southern Ocean</option><option  value="215">Spratly Islands</option><option  value="216">Sri Lanka</option><option  value="217">Suazilandia</option><option  value="218">Sudáfrica</option><option  value="219">Sudán</option><option  value="220">Suecia</option><option  value="221">Suiza</option><option  value="222">Surinam</option><option  value="223">Svalbard y Jan Mayen</option><option  value="198">Sáhara Occidental</option><option  value="224">Tailandia</option><option  value="225">Taiwán</option><option  value="226">Tanzania</option><option  value="227">Tayikistán</option><option  value="228">TerritorioBritánicodel Océano Indico</option><option  value="229">Territorios Australes Franceses</option><option  value="230">Timor Oriental</option><option  value="231">Togo</option><option  value="232">Tokelau</option><option  value="233">Tonga</option><option  value="234">Trinidad y Tobago</option><option  value="236">Turkmenistán</option><option  value="237">Turquía</option><option  value="238">Tuvalu</option><option  value="235">Túnez</option><option  value="239">Ucrania</option><option  value="240">Uganda</option><option  value="241">Unión Europea</option><option  value="242">Uruguay</option><option  value="243">Uzbekistán</option><option  value="244">Vanuatu</option><option  value="245">Venezuela</option><option  value="246">Vietnam</option><option  value="247">Wake Island</option><option  value="248">Wallis y Futuna</option><option  value="249">West Bank</option><option  value="250">World</option><option  value="251">Yemen</option><option  value="252">Yibuti</option><option  value="253">Zambia</option><option  value="254">Zimbabue</option></select></td></tr>
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